JACINDA ELAINE DOUGHERTY (NPI# 1306972336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306972336 |
| Entity Type | Individual |
| Full Name | JACINDA ELAINE DOUGHERTY |
| Other Name | JACIE TRAUTWEIN |
| Credential | PSYD |
| Practice Address |
3757 S. Greystone Ct. Springfield MO 65804-0000 |
| Practice Telephone | 4178777500 |
| Practice Fax Number | 4178777600 |
| Mailing Telephone | 4178777500 |
| Mailing Fax Number | 4178777600 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2001031418 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 495693707 | 05 | |
| MO | BLUE SHIELD | 152184 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171833 | Jacinda Lynn Dougherty | Counselor | 1911 Williams Dr, Suite 160, Oxnard, CA 93036-2612 | 2015-04-15 |
| Street Address |
3757 S. GREYSTONE CT. |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074351 | Esther Palacios-barrios | Psychologist | 8110 Parkdale Ct, Springfield, VA 22153-3601 | 2020-05-13 |
| 1073163598 | Tracey Cummings | Psychologist | 709 Avenue A, Springfield, MI 49037-7706 | 2019-09-17 |
| 1194374587 | Aaron Matthew Begley | Psychologist | 2775 W Dickman Rd Ste P1, Springfield, MI 49037-4895 | 2019-09-09 |
| 1891209938 | Ewa Lavin | Psychologist | 675 Morris Ave Ste 202, Springfield, NJ 07081-1523 | 2017-11-28 |
| 1750825469 | Stephanie Kaplan | Psychologist | 300 Carew St Ste 2, Springfield, MA 01104-2146 | 2016-12-14 |
| 1578922365 | Molly Lenore Choate Summers | Psychologist | 7713 Harwood Pl, Springfield, VA 22152-2014 | 2016-02-22 |
| 1942669528 | Hiroko Arikawa | Psychologist | 2988 W Lasalle St, Springfield, MO 65807-8733 | 2016-02-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1861885774 | Hand In Hand Multicultural Center | Psychologist | 1436 W Hovey St, Springfield, MO 65802-1509 | 2015-03-17 |
| 1962742932 | Jed E Baker | Psychologist | 28 Millburn Ave, Suite 7, Springfield, NJ 07081 | 2013-02-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.